Bekar A, Korfali E, Calişir B, Tolunay S
Departments of Neurosurgery and Pathology, Uludağ University School of Medicine, Bursa, Turkey.
Minim Invasive Neurosurg. 2001 Mar;44(1):13-6. doi: 10.1055/s-2001-14511.
Thirty-three obscure intracranial lesions were located using the Steiner-Lindquist microsurgical stereotaxic guide and then surgically resected. Seventeen of the lesions were located in the parietal region, six in the frontal region, three in the parietooccipital region, three in the temporoparietal region, one in the thalamic region, one in the centrum semiovale, one in the brainstem, and one in the third ventricle. Twenty-three lesions were in subcortical or cortical locations. In 28 cases, the lesion was totally removed, while in 5 the lesion was subtotally resected. Pathological examinations confirmed glial tumor in eight patients, metastasis in seven, meningioma in two, cavernous angioma in eight, arteriovenous malformation (AVM) in four, hematoma in two, dysembryoblastic neuroepithelial tumor in one, and septum pellucidum cyst in one. Two patients developed transient complications postsurgery. Mean lesion size was 23 +/- 0.97 mm. The hospitalization period ranged from 1 to 6 days (mean 3.4 +/- 1.3 days). Surgeries were performed under general anesthesia, or under local anesthesia with the patient awake. The Steiner-Lindquist microsurgical stereotaxic guide is useful for pinpointing small lesions, especially those in the subcortical and deep areas. Knowing the precise location of the lesion facilitates removal through a small craniotomy incision. This minimally invasive procedure reduces the number of postoperative neurological complications, and also cuts costs by shortening the hospital stay.
使用施泰纳 - 林德奎斯特显微外科立体定向导向装置定位了33个隐匿性颅内病变，然后进行了手术切除。其中17个病变位于顶叶区域，6个位于额叶区域，3个位于顶枕叶区域，3个位于颞顶叶区域，1个位于丘脑区域，1个位于半卵圆中心，1个位于脑干，1个位于第三脑室。23个病变位于皮质下或皮质部位。28例病变被完全切除，5例病变被次全切除。病理检查确诊8例为神经胶质瘤，7例为转移瘤，2例为脑膜瘤，8例为海绵状血管瘤，4例为动静脉畸形（AVM），2例为血肿，1例为胚胎发育不良性神经上皮肿瘤，1例为透明隔囊肿。2例患者术后出现短暂并发症。病变平均大小为23±0.97毫米。住院时间为1至6天（平均3.4±1.3天）。手术在全身麻醉或患者清醒的局部麻醉下进行。施泰纳 - 林德奎斯特显微外科立体定向导向装置有助于精确确定小病变的位置，尤其是皮质下和深部区域的病变。了解病变的精确位置有助于通过小的开颅切口进行切除。这种微创手术减少了术后神经并发症的数量，还通过缩短住院时间降低了成本。
